| NPI | 1255461687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: MI 4704119230) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704119230) |
| 363L00000X Nurse Practitioner (Licence: MI 4704119230) | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2013-10-29 |