| NPI | 1891047585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61183717) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: MA 152376) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MA 152376) | |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2022-12-20 |