| NPI | 1669465027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: WA AP30007395) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00124922) |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2022-05-02 |