| NPI | 1477704153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9228921) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: FL 0022023-01) |
| 364S00000X Clinical Nurse Specialist (Licence: NJ 26NC05023600) | |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2018-10-10 |