| NPI | 1861515793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 215730) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: NC 215730) |
| Enumeration Date | 2007-04-07 |
| Last Update Date | 2013-04-30 |