| NPI | 1730277930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse General Practice (Licence: GA 167929) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA 167929) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2007-07-08 |