| NPI | 1972780336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP61583883) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61583883) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024167813) | |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2025-09-08 |