| NPI | 1649689944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: WA AP60617031) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP60617031) |
| 363L00000X Nurse Practitioner (Licence: WA AP60617031) | |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: WA AP60617031) | |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2024-09-06 |