| NPI | 1336112226 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: MN 258) | 
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: MN R113655-9) | 
| Enumeration Date | 2006-02-10 | 
| Last Update Date | 2020-08-04 |