| NPI | 1396954459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CT R35834) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: CT 001215) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |