| NPI | 1699143719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0100X Registered Nurse, Gastroenterology (Licence: TX 682528) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TX 682528) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: TX 682528) | |
| Enumeration Date | 2015-09-05 |
| Last Update Date | 2015-09-05 |