| NPI | 1407816002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: KS 53-74287-061) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 5374287061) |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2009-06-19 |