| NPI | 1790818243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: CO 72783) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 72783) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2011-09-13 |