| NPI | 1174170724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: WA TBD) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: WA AP61016241) |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2019-12-11 |