NPI | 1598379455 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP61449464) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: WA RN60380189) |
Enumeration Date | 2020-09-08 |
Last Update Date | 2024-09-06 |