| NPI | 1962400606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: GA F0303018) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: GA RN045021NP) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2012-02-23 |