| NPI | 1851126569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 15741) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 260378-30) |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: WI 134227) | |
| Enumeration Date | 2024-09-03 |
| Last Update Date | 2024-10-31 |