| NPI | 1558939397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 11279-33) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: WI 191087-30) |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2023-02-03 |