| NPI | 1760175533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: LA 241547) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN119497) |
| 163W00000X Registered Nurse (Licence: WA RN61223549) | |
| Enumeration Date | 2023-05-30 |
| Last Update Date | 2025-06-11 |