| NPI | 1710653951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP61140115) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: WA AP61140115) |
| 363L00000X Nurse Practitioner (Licence: WA AP61140115) | |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2021-09-09 |