| NPI | 1154652691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: CA 3207) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 636031) |
| Enumeration Date | 2010-01-22 |
| Last Update Date | 2010-01-22 |