| NPI | 1104128719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: WI 5825) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: MN R167408-2) |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2014-07-02 |