NPI | 1790789063 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: WI 146404030) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MI 4704135541) |
Enumeration Date | 2005-06-02 |
Last Update Date | 2007-07-08 |