| NPI | 1205220258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP61360876) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 686244) |
| 363L00000X Nurse Practitioner (Licence: WA AP61360876) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 307597) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0993632-NP) | |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2023-01-18 |