| NPI | 1699509828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 15854-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 242550-30) |
| Enumeration Date | 2024-08-29 |
| Last Update Date | 2024-08-30 |