| NPI | 1679101117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: AL 1-127614) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-127614) |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2024-05-06 |