| NPI | 1174575864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 148831) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 148831) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-10-01 |