| NPI | 1013325968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60489248) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: KS 53-76253-092) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 201401374NP-PP) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP 60489248) | |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2021-03-01 |