| NPI | 1063098788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: MA 92614) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: CT 39315) |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2021-03-23 |