| NPI | 1316488968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: VA 00001152672) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001152672) |
| 163WA2000X Registered Nurse, Administrator (Licence: VA 0001152672) | |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2017-03-15 |