| NPI | 1235724170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 155084) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 155084) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 10002) | |
| Enumeration Date | 2021-03-03 |
| Last Update Date | 2021-04-01 |