| NPI | 1376479428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: WI 17647-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 171089-30) |
| Enumeration Date | 2026-06-18 |
| Last Update Date | 2026-06-18 |