| NPI | 1942928114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 11818-33) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 11818-33) |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2022-09-14 |