| NPI | 1861928111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID 66593) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP 60730619) |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2021-06-17 |