| NPI | 1013662733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 11827-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 195521-30) |
| Enumeration Date | 2022-02-22 |
| Last Update Date | 2022-04-14 |