| NPI | 1235311911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: GA RN179434) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: GA RN179434) |
| 163WR0400X Registered Nurse, Rehabilitation (Licence: GA RN179434) | |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2024-05-28 |