| 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 |