| NPI | 1114278389 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP61690591) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN61687698) | 
| Enumeration Date | 2012-09-27 | 
| Last Update Date | 2025-07-24 |