| NPI | 1083968143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 5119-33) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 5119) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2019029637) | |
| Enumeration Date | 2012-10-28 |
| Last Update Date | 2021-12-06 |