| NPI | 1144501479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: IL 209.008195) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.306949) |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2011-08-31 |