NPI | 1104975549 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: MD AC000210) |
Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: VA 0015000797) |
Enumeration Date | 2007-01-08 |
Last Update Date | 2007-07-08 |