| NPI | 1417411711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NC 102392) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NC 102392) |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2019-01-31 |