| NPI | 1649215070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: ND 0388003-02) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ND R28599) |
| 164X00000X Licensed Vocational Nurse (Licence: ND L9274) | |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2021-03-22 |