| NPI | 1619470242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 8484-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 221635-30) |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2020-12-03 |