| NPI | 1558991489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse General Practice (Licence: PR 87820) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: PR 87820-G) |
| Enumeration Date | 2020-01-20 |
| Last Update Date | 2020-01-29 |