| NPI | 1447702428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: OR 201811368NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60810824) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60810824) | |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2020-07-20 |