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 | 2024-10-15 |