| NPI | 1871326264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 15856-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.506226) |
| 163W00000X Registered Nurse (Licence: WI 245539-30) | |
| Enumeration Date | 2024-08-22 |
| Last Update Date | 2024-09-05 |