| NPI | 1588216345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 937733) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 937733) |
| 163W00000X Registered Nurse (Licence: WI 190167-30) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 937733) | |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2023-11-07 |