| NPI | 1649635376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: MN 480) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 214129-7) |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2018-06-29 |