| NPI | 1811609936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0000X Registered Nurse General Practice (Licence: CA 777251) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: IN 28272943A) |
| Enumeration Date | 2022-12-20 |
| Last Update Date | 2022-12-20 |