| NPI | 1932746872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP61054945) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: WA 60687096) |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2020-12-07 |