| NPI | 1215278759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60879539) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NV APN001499) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: UT 11330828-4405) | |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2020-04-07 |