| NPI | 1720227309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP2800X Clinical Nurse Specialist, Perioperative (Licence: PA MA060918) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-01710) |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2021-06-22 |