| NPI | 1235222654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MT NUR-APRN-LIC-105019) |
| Additional Taxonomies | 171W00000X Contractor (Licence: WA AP30001464) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: AK 1133) | |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2023-03-07 |