| NPI | 1568895936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WI 5488-33) |
| Additional Taxonomies | 364SS0200X Clinical Nurse Specialist School (Licence: WI 100891-30) |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2023-04-12 |