| NPI | 1912638081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 14843-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 195657) |
| Enumeration Date | 2022-06-21 |
| Last Update Date | 2024-06-24 |