| NPI | 1609153741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: NE 114001) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 27389) |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2011-11-17 |