| NPI | 1558766915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: WA AP61094027) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61093837) |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2020-12-21 |