| NPI | 1336898626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: WA AP61524411) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9539310) |
| Enumeration Date | 2022-03-22 |
| Last Update Date | 2024-02-03 |