| NPI | 1952936155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP61242639) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN60370977) |
| Enumeration Date | 2020-03-08 |
| Last Update Date | 2024-08-07 |