| NPI | 1952388167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: IN 70000120) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28079675) |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2009-05-03 |