| NPI | 1679187603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 27220) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP61105297) |
| 363L00000X Nurse Practitioner (Licence: WA RN61073477) | |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2025-12-24 |