| NPI | 1366977472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: WA AP60755724) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60755654) |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2017-04-26 |