| NPI | 1306787387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: WI 18222) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 18222) |
| Enumeration Date | 2026-04-02 |
| Last Update Date | 2026-04-02 |