NPI | 1285902122 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: CT 004860) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 306310) |
363LW0102X Nurse Practitioner, Women's Health (Licence: NY 421112) | |
Enumeration Date | 2011-12-07 |
Last Update Date | 2019-10-29 |