| NPI | 1508271719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: LA 0318691) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA APO3349) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2019-10-29 |