| NPI | 1760571376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: SC R55230) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 769) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-07-08 |