NPI | 1992249940 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP60705517) |
Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: WA AP60705517) |
363LG0600X Nurse Practitioner, Gerontology (Licence: OR 201810082NP-PP) | |
Enumeration Date | 2016-12-09 |
Last Update Date | 2023-07-27 |