| NPI | 1992370142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 11013) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 243255-30) |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2021-11-15 |