| NPI | 1255409546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 2077005215-22) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: WI 2006008321-05) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2008-09-07 |