| NPI | 1639493208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ 298549) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61025141) |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2024-01-13 |