| NPI | 1083860381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: WI 157720-030) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MI 4704225373) |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2008-08-18 |