| NPI | 1750734711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP60747458) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 702653-1) |
| 163W00000X Registered Nurse (Licence: WA RN60712263) | |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2017-07-28 |