| NPI | 1619502879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP61062794) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60758904) |
| 363L00000X Nurse Practitioner (Licence: WA AP61062794) | |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2022-04-01 |