| NPI | 1366955676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP60909289) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60909289) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2021-07-26 |