| NPI | 1518599448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: WA AP61165812) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60887769) |
| Enumeration Date | 2020-02-08 |
| Last Update Date | 2021-08-10 |