| NPI | 1023201936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA RN090046) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA R090046) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2016-05-18 |