| NPI | 1699409805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: SD R044601) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MN 2292609) |
| Enumeration Date | 2022-07-13 |
| Last Update Date | 2022-07-13 |