| NPI | 1255956306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: OK 105821) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 105821) |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2023-01-06 |