| NPI | 1497063119 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: KS 5374782012)  | 
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: KS 53-74782-012)  | 
| Enumeration Date | 2010-09-15 | 
| Last Update Date | 2023-11-27 |