| NPI | 1548790173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: WA AP60765897) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: WA AP60765897) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2024-01-26 |