| NPI | 1124103221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: MA 164216) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 164216) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2019-10-15 |