| NPI | 1710633748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: WA AP61309945) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN60836668) |
| Enumeration Date | 2022-02-28 |
| Last Update Date | 2022-06-16 |