| NPI | 1508114422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: AL 1-113223) |
| Additional Taxonomies | 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: AL 1-113223) |
| 364SW0102X Clinical Nurse Specialist, Women's Health (Licence: AL 1-113223) | |
| 363L00000X Nurse Practitioner (Licence: AL 1-113223) | |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2015-07-02 |