| NPI | 1598563744 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: OK 224893) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK R0122604) |
| Enumeration Date | 2025-03-04 |
| Last Update Date | 2025-07-23 |