| NPI | 1841376241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP60958277) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: ID NP562) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2021-04-09 |