| NPI | 1154864601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: WA AP60717146) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60708733) |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2017-01-13 |