| NPI | 1770132268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: WI 9576) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 178461-30) |
| 363L00000X Nurse Practitioner (Licence: WI 9576-33) | |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2023-05-26 |