NPI | 1902600703 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP61684980) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OR 10035821) |
Enumeration Date | 2025-04-02 |
Last Update Date | 2025-06-04 |