| NPI | 1295843332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: WI 128672) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 128672) |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2020-09-15 |