| NPI | 1457478471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA2000X Registered Nurse Administrator (Licence: WY 16354) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: WY 16354) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2007-07-08 |