| NPI | 1922066166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: TX 639004) |
| Additional Taxonomies | 364SN0800X Clinical Nurse Specialist, Neuroscience (Licence: TX 639004) |
| 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: TX 639004) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2021-01-07 |