| NPI | 1831346360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 3475) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 144713) |
| 363L00000X Nurse Practitioner (Licence: MN 2020538) | |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2022-08-29 |