| NPI | 1376648428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: OR 200170091CNS) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: OR 200170091CNS) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2007-10-04 |