NPI | 1043561467 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: FL RN 9340040) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: AL 1-091820) |
Enumeration Date | 2012-09-25 |
Last Update Date | 2012-09-25 |