| NPI | 1982487088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0100X Registered Nurse, Gastroenterology (Licence: WI 167549) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 14699) |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2024-01-03 |