| NPI | 1780052332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP 60594227) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV RN60116) |
| 163W00000X Registered Nurse (Licence: CO RN.1617929) | |
| 163W00000X Registered Nurse (Licence: WA RN 60588654) | |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2015-10-16 |