| NPI | 1578808440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: MD CS00004) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R111654) |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2020-09-09 |