NPI | 1023661089 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP61224118) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: WA RN60196980) |
363L00000X Nurse Practitioner (Licence: WA AP61224118) | |
Enumeration Date | 2019-07-18 |
Last Update Date | 2022-02-18 |