| NPI | 1134677578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP60314065) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA UP06768M) |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2016-12-16 |