| NPI | 1861271397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 101288204405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 074190-21) |
| 163W00000X Registered Nurse (Licence: WA RN61442300) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP61488643) | |
| Enumeration Date | 2023-09-25 |
| Last Update Date | 2025-11-25 |