| NPI | 1376136309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 11184) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 23251930) |
| Enumeration Date | 2021-02-20 |
| Last Update Date | 2024-02-21 |