| NPI | 1841644515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP60651568) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60221365) |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2016-09-01 |