| NPI | 1972224756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP70000566) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60977501) |
| Enumeration Date | 2022-09-08 |
| Last Update Date | 2025-05-27 |