| NPI | 1326525049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 196513) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 196513) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: WI 8535) | |
| 363LS0200X Nurse Practitioner, School (Licence: WI 196513) | |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2024-03-22 |