| NPI | 1154724912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist Adult Health (Licence: IL 209.008938) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: IL 209008938) |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2021-03-11 |