| NPI | 1912638297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 13145) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: WI 16116130) |
| Enumeration Date | 2022-06-18 |
| Last Update Date | 2023-06-22 |