| NPI | 1811143266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: WA AP30007845) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00161774) |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2009-12-14 |