| NPI | 1730370719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 101340) |
| Additional Taxonomies | 364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: AR STP-000007) |
| 364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: AR S02222) | |
| 364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: CO APN.0997240-CNS) | |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2024-02-19 |