NPI | 1902410129 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP61432525) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: WA RN60520831) |
Enumeration Date | 2020-09-04 |
Last Update Date | 2023-07-06 |