| NPI | 1295209369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: WA AP61037398) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61037398) |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2020-03-25 |