| NPI | 1548565666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: MO 2010016429) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 120761) |
| Enumeration Date | 2011-01-20 |
| Last Update Date | 2021-04-13 |