| NPI | 1205690047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 15095) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 160830) |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2024-04-26 |