| NPI | 1700219276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: MS 3322-7849) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: GA CN0030021696) |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2013-08-19 |