| NPI | 1619534492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: CO 1635450) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: IN 28179422A) |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2019-05-28 |