| NPI | 1790767721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: MO 048345) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: IL 209004686) |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2012-12-18 |