| NPI | 1306243555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: MA 277855) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 277855) |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2014-12-03 |