| NPI | 1114481603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: OK 207874) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OK 207874) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R138206) | |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2022-07-15 |