| NPI | 1760946446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 9022) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041-303053) |
| 163W00000X Registered Nurse (Licence: WI 125609) | |
| 163W00000X Registered Nurse (Licence: IA 110033) | |
| Enumeration Date | 2019-01-26 |
| Last Update Date | 2021-11-22 |