| NPI | 1285886648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 10012240NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 8899) |
| 364S00000X Clinical Nurse Specialist (Licence: CO 168766) | |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2023-08-21 |