| NPI | 1174510424 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: CT 000552) | 
| Additional Taxonomies | 364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: CT 000552) | 
| Enumeration Date | 2005-10-03 | 
| Last Update Date | 2010-01-25 |