| NPI | 1932878923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 11340) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 11340-33) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 11340) | |
| 163W00000X Registered Nurse (Licence: WI 222984-030) | |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2023-04-10 |