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 |