| NPI | 1720784721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP61595250) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WA AP61595250) |
| 363L00000X Nurse Practitioner (Licence: WA AP61595250) | |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: WA RN60455562) | |
| Enumeration Date | 2023-02-01 |
| Last Update Date | 2024-11-08 |