| NPI | 1659773455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: IL 209.001594) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.219519) |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2014-09-23 |