| NPI | 1992011886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2010029902) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: MO 2010029902) |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2023-09-21 |