| NPI | 1104521103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: WA AP61418573) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: WA RN60240539) |
| Enumeration Date | 2023-03-31 |
| Last Update Date | 2023-04-04 |