| NPI | 1093315970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61408139) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: CT 9061) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: NV 856620) | |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2023-08-31 |