| NPI | 1497733869 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: MN 90) | 
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: MN R 103704-3) | 
| Enumeration Date | 2006-01-05 | 
| Last Update Date | 2020-08-04 |