| NPI | 1609994474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: WY 16928) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: WY 16928) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2007-07-08 |