| NPI | 1992472070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP61530020) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60289096) |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2024-03-04 |