| NPI | 1669465480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: IL 209-004103) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041-204506) |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2021-12-31 |