| NPI | 1750669222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SS0200X Clinical Nurse Specialist School (Licence: CT 001863) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CT R39973) |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2011-11-02 |