| NPI | 1669105979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 13017-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 235093-30) |
| Enumeration Date | 2022-07-05 |
| Last Update Date | 2024-02-05 |