| NPI | 1508956616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: IL 209004872) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: WI 0000467033) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2011-01-26 |