| NPI | 1932100625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AR R35579) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR P00980) |
| 364S00000X Clinical Nurse Specialist (Licence: AR A01065) | |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2007-07-08 |