| NPI | 1912229469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AK 29598) |
| Additional Taxonomies | 208D00000X General Practice (Licence: AK 29598) |
| Enumeration Date | 2010-02-25 |
| Last Update Date | 2010-04-19 |