| NPI | 1053195818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN60370970) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: WA AP61501078) |
| Enumeration Date | 2023-08-22 |
| Last Update Date | 2023-11-21 |