| NPI | 1861934085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 1477-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 173451-30) |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2023-12-07 |