| NPI | 1235114323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: KS 13 051247 061) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: KS 74038) |
| Enumeration Date | 2005-12-12 |
| Last Update Date | 2007-07-08 |