| 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 |