| NPI | 1386819654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AR S02230) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: AR S02230) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2020-02-17 |