| NPI | 1700162765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 13808) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 100440) |
| 363L00000X Nurse Practitioner (Licence: WA AP61202385) | |
| 363L00000X Nurse Practitioner (Licence: WI 13808) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 100440) | |
| 163W00000X Registered Nurse (Licence: WA RN61202382) | |
| Enumeration Date | 2011-10-22 |
| Last Update Date | 2023-06-02 |