NPI | 1104103670 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: IL 2029009235) |
Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: IL 209009235) |
Enumeration Date | 2011-11-10 |
Last Update Date | 2023-10-04 |