| NPI | 1710555750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 11101-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 235847-30) |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2024-07-22 |