| NPI | 1023790664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 14346) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 14346-33) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 14346) | |
| Enumeration Date | 2023-08-03 |
| Last Update Date | 2023-09-08 |