| NPI | 1134594765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 172064) |
| Additional Taxonomies | 364SH1100X Clinical Nurse Specialist Holistic (Licence: WI 172064) |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2015-12-08 |