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 |