| NPI | 1760818553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA AP60647409) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA RN60634326) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP60647409) | |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2023-05-25 |