| NPI | 1134454440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: WA RN60079806) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OR 200940961RN) |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2009-10-05 |