| NPI | 1679290506 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: CO 995152) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: MN 0043) |
| Enumeration Date | 2022-10-21 |
| Last Update Date | 2022-10-21 |