| NPI | 1720414873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 5499) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 5499-33) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 5499) | |
| Enumeration Date | 2013-09-20 |
| Last Update Date | 2021-11-19 |