| NPI | 1134132699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: CA 604) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 229639) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2007-07-13 |