| NPI | 1417901109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: MN 348363-05) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: MN R 115323-1) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2012-10-04 |