| NPI | 1427788439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 13040-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 169363) |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2022-07-18 |