NPI | 1578023651 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: WA AP61178866) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 60593263) |
Enumeration Date | 2019-03-23 |
Last Update Date | 2021-10-05 |