| NPI | 1376700609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CT 4241) |
| Additional Taxonomies | 163WC3500X Registered Nurse Cardiac Rehabilitation (Licence: CT 4241) |
| 364SA2200X Clinical Nurse Specialist Adult Health (Licence: IL 209.004942) | |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2022-01-27 |