| NPI | 1003566449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 243683-30) |
| Additional Taxonomies | 156FX1900X Technician/Technologist Orthoptist (Licence: WI 243683-30) |
| Enumeration Date | 2022-03-28 |
| Last Update Date | 2022-03-29 |