| NPI | 1952050288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 12047-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 196570-030) |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2022-11-16 |