| NPI | 1326094319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SM0705X Clinical Nurse Specialist Medical-Surgical (Licence: KS 74854) |
| Additional Taxonomies | 364SM0705X Clinical Nurse Specialist Medical-Surgical (Licence: MO 2002024965) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2014-05-20 |