| NPI | 1225336118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: ID CNS-51A) |
| Additional Taxonomies | 163WP0000X Registered Nurse Pain Management (Licence: ID CNS-51) |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2012-11-02 |