| NPI | 1770757957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: MO 2014036833) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MO 154131) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2019-12-31 |