| NPI | 1275141822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 10375-33) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: WI 226705-30) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 10375-33) | |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2021-01-13 |