| NPI | 1265063309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: PR 80908) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: PR 80908-G) |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2020-01-29 |