| NPI | 1831689132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist Adult Health (Licence: MA RN161370) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN161370) |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2018-05-14 |