| NPI | 1144201708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: SD SD-CNP CP000412) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SD R029403) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2012-12-06 |