| NPI | 1013530724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 10340) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 218539) |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2022-11-29 |