| NPI | 1215081781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: MA 134515) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: FL 389122) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-07-08 |