| NPI | 1861852881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: PA SP004320C) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: PA RN287906L) |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2016-03-03 |