NPI | 1770116436 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP61060250) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00164194) |
Enumeration Date | 2020-02-20 |
Last Update Date | 2021-11-11 |