| NPI | 1972051423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61515215) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: WY 1682.1682) |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2024-11-23 |