NPI | 1467993832 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: PR 83292) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PR 57312G) |
Enumeration Date | 2017-03-17 |
Last Update Date | 2022-06-09 |