| NPI | 1215902416 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: MN 429) | 
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: MN R088628-2) | 
| Enumeration Date | 2006-02-21 | 
| Last Update Date | 2020-08-04 |