| NPI | 1316608243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61370523) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN61247120) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN287261) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP61370523) | |
| Enumeration Date | 2022-01-03 |
| Last Update Date | 2025-03-31 |