| NPI | 1952513012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5003647) |
| Additional Taxonomies | 364SR0400X Clinical Nurse Specialist, Rehabilitation (Licence: OK R0073024) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2021-04-07 |