| NPI | 1942816970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP61483678) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN60650541) |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2023-09-14 |