| NPI | 1851535470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: WA AP60673491) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: HI APRN 301 APRN RX 51) |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2022-07-21 |