| NPI | 1851154165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 16030-33) |
| Additional Taxonomies | 363LS0200X Nurse Practitioner, School (Licence: WI 184997) |
| Enumeration Date | 2024-01-31 |
| Last Update Date | 2024-11-04 |