| NPI | 1093367005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: WA AP60974090) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA AP60974090) |
| 363L00000X Nurse Practitioner (Licence: WA AP60974090) | |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2023-03-27 |