| NPI | 1316269590 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: IN 71003212A) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: OH APRN.CNS.019368) |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2025-02-07 |