| NPI | 1184876872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 9123-33) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP60299881) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 17780) | |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2022-03-15 |