| NPI | 1144612508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1004878) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60123376) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP60542393) | |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2023-08-25 |