| NPI | 1811440548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA 60768775) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: MA RN2293343) |
| 163W00000X Registered Nurse (Licence: WA 60153629) | |
| Enumeration Date | 2016-07-29 |
| Last Update Date | 2018-04-05 |