NPI | 1568200137 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: WA Rn60924183) |
Additional Taxonomies | 363LS0200X Nurse Practitioner, School (Licence: WA no) |
Enumeration Date | 2024-07-18 |
Last Update Date | 2024-07-18 |