| NPI | 1821788431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61491811) |
| Additional Taxonomies | 163WF0300X Registered Nurse, Flight (Licence: WA RN60126224) |
| 163WE0003X Registered Nurse, Emergency (Licence: WA RN60126224) | |
| Enumeration Date | 2023-05-09 |
| Last Update Date | 2023-10-13 |