NPI | 1194350330 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP61183665) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60708031) |
Enumeration Date | 2020-03-09 |
Last Update Date | 2021-08-30 |