| NPI | 1336617414 |
|---|---|
| Former Name | DARCIA LAVERACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: WA AP60927294) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN088465) |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2023-06-23 |