| NPI | 1649314220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 201392913NP-PP) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: LA RN79000) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: LA AP04978) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60436588) | |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2022-03-10 |