| NPI | 1144621749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: AZ RN075604) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: AZ AP0479) |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2014-09-15 |