NPI | 1184091969 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SA2200X Clinical Nurse Specialist Adult Health (Licence: SC APRN 19728) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 209601) |
363L00000X Nurse Practitioner (Licence: SC 19728) | |
Enumeration Date | 2015-08-27 |
Last Update Date | 2022-07-21 |