| NPI | 1215524731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 10649-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 257680-30) |
| Enumeration Date | 2020-12-30 |
| Last Update Date | 2023-03-03 |