| NPI | 1710362777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SA2100X Clinical Nurse Specialist Acute Care (Licence: NE 111824) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NE 111824) |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2016-06-10 |