| NPI | 1396465589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA STUDENT) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: WA 00166377) |
| 363LS0200X Nurse Practitioner School (Licence: WA STUDENT) | |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2022-08-30 |