| NPI | 1104905561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: WA AP30007121) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: WA RN00114538) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2023-03-07 |