| NPI | 1396426680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP61576202) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA 61152128) |
| Enumeration Date | 2023-07-28 |
| Last Update Date | 2024-06-26 |