| NPI | 1821057803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC APN 511) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC APN 511) |
| 363LX0106X Nurse Practitioner, Occupational Health (Licence: SC APN 511) | |
| 364S00000X Clinical Nurse Specialist (Licence: SC APN 511) | |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2010-12-20 |