| NPI | 1891470910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP61508314) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: WA RN61461052) |
| 363L00000X Nurse Practitioner (Licence: TX 1127431) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1127431) | |
| 163WP0200X Registered Nurse, Pediatrics (Licence: TX 938604) | |
| Enumeration Date | 2023-06-16 |
| Last Update Date | 2024-09-27 |