| NPI | 1578264065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: WI 2000396302) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 198000) |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2023-03-13 |