| NPI | 1962453944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: WI 3610) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 99066) |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2021-06-05 |