| NPI | 1871841510 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 13739-33) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 156128-30) | 
| 163WC0400X Registered Nurse, Case Management (Licence: WI 00140605) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 13739-33) | |
| Enumeration Date | 2012-08-28 | 
| Last Update Date | 2023-03-20 |