| NPI | 1053623462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: UT 331089-3102) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: AK 53100) |
| 163WG0000X Registered Nurse, General Practice (Licence: UT 331089-3102) | |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2016-12-12 |