| NPI | 1023472966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 6638) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IA A105272) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IA H105272) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 6638) | |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2022-07-21 |