| NPI | 1679896351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 081718-23) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: WA AP60135606) |
| 363LF0000X Nurse Practitioner Family (Licence: WA AP60135606) | |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2022-05-02 |