| NPI | 1649283854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: CO 186207) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: IL 209004607) |
| 364S00000X Clinical Nurse Specialist (Licence: IL 309002118) | |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2021-06-13 |