| NPI | 1649802547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61294558) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: WA AP61294558) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: WA RN60398477) | |
| Enumeration Date | 2020-02-08 |
| Last Update Date | 2022-05-06 |