| NPI | 1073265070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 11723) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 236372) |
| 363L00000X Nurse Practitioner (Licence: WI F01220262) | |
| Enumeration Date | 2022-01-20 |
| Last Update Date | 2022-04-05 |