| NPI | 1548227424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA R069517) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: GA R069517) |
| 163WA2000X Registered Nurse, Administrator (Licence: GA R069517) | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2007-07-08 |