| NPI | 1790169431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP61591903) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: WA AP61591903) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CO APN.0991472-NP) | |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2024-12-11 |