| NPI | 1114623048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 13861) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 171045-030) |
| Enumeration Date | 2023-02-02 |
| Last Update Date | 2025-02-28 |