| NPI | 1023417169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 5585) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 5855) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 5585) | |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2023-03-03 |