| NPI | 1336553601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: AZ TRN185728) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: WI 174788-30) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2014-06-16 |