| NPI | 1710684907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 14345) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 226097-30) |
| Enumeration Date | 2023-02-08 |
| Last Update Date | 2023-08-07 |