| NPI | 1366958506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: VA 0001256159) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: FL RN9381028) |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2017-12-26 |