| NPI | 1659795623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: NV RN49994) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CO RN.0202182) |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2014-02-12 |