| NPI | 1548998669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 13273-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 250059) |
| Enumeration Date | 2022-08-09 |
| Last Update Date | 2022-12-19 |