| NPI | 1194100362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: GA LPN090474) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: TN 86290) |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2015-07-29 |