| NPI | 1942218417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: OR 200170028CNS) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: OR 099007289RN) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2007-07-08 |