| NPI | 1477067981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60988824) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA NA) |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2020-02-11 |