| NPI | 1528876125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 10050902) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP70050553) |
| 163W00000X Registered Nurse (Licence: WA RN60889637) | |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: OR 202004591RN) | |
| Enumeration Date | 2024-12-28 |
| Last Update Date | 2025-10-21 |