| NPI | 1851943765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP61187184) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95187079) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95017359) | |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2021-11-06 |