| NPI | 1710214671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: MI 4704141216) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704141216) |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2020-10-23 |