| NPI | 1932524196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist Adult Health (Licence: IL 209011085) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: IL 209011085) |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2021-04-09 |