| NPI | 1578683116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: VA 0015000347) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001069426) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2025-09-11 |