| NPI | 1164725354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN204629) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: GA A1110056) |
| 363L00000X Nurse Practitioner (Licence: GA RN204629) | |
| Enumeration Date | 2010-12-10 |
| Last Update Date | 2018-11-29 |