| NPI | 1275641987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AR P00437) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: AR R21899) |
| 364SA2200X Clinical Nurse Specialist Adult Health (Licence: AR S01083) | |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2007-10-31 |