| NPI | 1013454164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 9024) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9358795) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: FL RN9358795) | |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2024-02-28 |