| NPI | 1275549339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 86) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: MN R 167312-2) |
| 364S00000X Clinical Nurse Specialist (Licence: MN 86) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2023-06-13 |