| NPI | 1487116455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: VA 0015001074) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001238728) |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2019-04-01 |