| NPI | 1962510743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: NM CNS00062) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM R21328) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2020-12-29 |