| NPI | 1962153684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 14661) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 245870) |
| Enumeration Date | 2022-01-13 |
| Last Update Date | 2023-12-27 |