| NPI | 1619272937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL 2144822) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: FL 2144822) |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2011-01-18 |