| NPI | 1306192935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5005691) |
| Additional Taxonomies | 364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: NC 5005691) |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2024-05-17 |