| NPI | 1891277703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 13119) |
| Additional Taxonomies | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: WI 223849) |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2023-04-19 |