| NPI | 1760856074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: IL 209005808) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 309008970) |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2021-03-23 |