| NPI | 1881954618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: OR 201392700NP-PP) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: WA AP60261020) |
| Enumeration Date | 2012-05-27 |
| Last Update Date | 2013-11-19 |