| NPI | 1780181834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA RN235396) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: GA RN235396) |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2019-05-22 |