NPI | 1750300877 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: UT 10952123-4405) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00158616) |
363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP30006970) | |
363LA2100X Nurse Practitioner, Acute Care (Licence: SC 4330) | |
Enumeration Date | 2006-07-19 |
Last Update Date | 2018-10-26 |