| NPI | 1780172585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: TX 888637) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: FL rn9253447) |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2018-04-26 |