| NPI | 1639676992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: CA NP95007820) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60812900) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: WA 60829939) | |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2018-06-25 |