| NPI | 1942965041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP61247487) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00174265) |
| Enumeration Date | 2021-11-03 |
| Last Update Date | 2022-03-23 |