| NPI | 1750148102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: HI 73807) |
| Additional Taxonomies | 171000000X Military Health Care Provider |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: HI 73807) | |
| Enumeration Date | 2024-03-04 |
| Last Update Date | 2025-09-10 |