| NPI | 1952914830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP61436079) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60862931) |
| 363L00000X Nurse Practitioner (Licence: WA AP61436079) | |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2025-03-06 |