| NPI | 1780059881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP60868265) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: WA RN60240860) |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2018-07-19 |