| NPI | 1699907089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 3816) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: WI 3816) |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: WI 3816) | |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2018-01-17 |