| NPI | 1376046680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP61621770) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95008661) |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2024-12-05 |