| NPI | 1255492559 |
|---|---|
| Former Name | GWENDOLYN FRANCILLE RICHARDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: NM 163WG0000X) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2007-07-08 |