| NPI | 1114773470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: VT 026.0112585) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: VI 13518) |
| Enumeration Date | 2024-04-27 |
| Last Update Date | 2024-04-27 |