| NPI | 1205173903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: IL 209.010251) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.320025) |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2013-07-18 |