| NPI | 1154998458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 11026) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 193773-030) |
| 363L00000X Nurse Practitioner (Licence: WI 99999) | |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2021-11-18 |