| NPI | 1548443393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A01089 ANP) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: AR R28118) |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2008-04-16 |