| NPI | 1497745558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP60541946) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 200650167NP) |
| 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: VA 0024164063) | |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2020-09-30 |