| NPI | 1720215403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: MN 0019) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: MN R 113460-3) |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2020-08-04 |