| NPI | 1992049449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: GA RN224454) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: GA RN224454) |
| Enumeration Date | 2012-11-22 |
| Last Update Date | 2012-11-22 |