| NPI | 1255700738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist Adult Health (Licence: MO 2010039439) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2000162336) |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2021-03-05 |