| NPI | 1366007510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: WA AP61182154) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: OR 201903309NP-PP) |
| Enumeration Date | 2019-05-03 |
| Last Update Date | 2022-09-21 |