| NPI | 1205011541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A03193) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: AR R34747) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: AR A03193) | |
| Enumeration Date | 2008-01-06 |
| Last Update Date | 2012-11-19 |