| NPI | 1366814501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 8710) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 220541-30) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 8710-33) | |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2023-03-16 |