| NPI | 1952042210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID 75340) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: WA RN00152666) |
| 363L00000X Nurse Practitioner (Licence: WA AP61334650) | |
| Enumeration Date | 2022-04-01 |
| Last Update Date | 2024-10-23 |