| NPI | 1104863810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 129258) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 129258) |
| 364S00000X Clinical Nurse Specialist (Licence: KS 5374713) | |
| 364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: KS 5374713) | |
| 364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: MO 129258) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2022-04-08 |