| NPI | 1457460602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: MO 078251) |
| Additional Taxonomies | 364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: KS 74752) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-10-19 |