| NPI | 1336803378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 11496-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 234607-30) |
| Enumeration Date | 2021-10-26 |
| Last Update Date | 2021-11-02 |