| NPI | 1538541511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 6432) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 6432-33) |
| 363L00000X Nurse Practitioner (Licence: MN 5002) | |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2020-09-15 |