| NPI | 1871788935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: GA RN149650) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209-006178) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2012-06-11 |