| NPI | 1891261699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 13549-33) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: WI 236228-30) |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 13549-33) | |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2024-05-08 |