| NPI | 1285145953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist Adult Health (Licence: CT 007763) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CT 7253) |
| Enumeration Date | 2017-10-20 |
| Last Update Date | 2022-11-18 |