| NPI | 1770569485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: CT 001911) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 001911) |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2012-03-05 |