| NPI | 1104933167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: LA AP03420) |
| Additional Taxonomies | 174400000X Specialist (Licence: LA 78019-3420) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2017-04-19 |