| NPI | 1578070686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP60813687) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60813717) |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2018-03-01 |