| NPI | 1639748890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID 71988) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP61145770) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: ID 71988) | |
| Enumeration Date | 2021-06-22 |
| Last Update Date | 2025-08-05 |