| NPI | 1790885507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: AZ 026) |
| Additional Taxonomies | 174400000X Specialist (Licence: AZ 042232) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: AZ RN040651) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2013-05-03 |