| NPI | 1134779804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: WA AP61005851) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN60968793) |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2022-02-14 |