| NPI | 1417583386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: WA AP61314937) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: WA RN60749355) |
| Enumeration Date | 2020-03-22 |
| Last Update Date | 2022-09-18 |