| NPI | 1497742019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 808) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R129068-6) |
| 163W00000X Registered Nurse (Licence: WI 101002) | |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2024-01-29 |