| NPI | 1306254891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60481747) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60401706) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: WA AP60481747) | |
| 363LA2100X Nurse Practitioner Acute Care (Licence: CT 12.006439) | |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2018-06-28 |