| NPI | 1720057888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: NC 900158) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 900158) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2007-11-02 |