| NPI | 1245719707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: WA AP60884309) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60884309) |
| 163W00000X Registered Nurse (Licence: WA RN60296671) | |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2022-03-08 |