| NPI | 1871894410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: VA 0001212013) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: VA 0001212013) |
| Enumeration Date | 2010-11-13 |
| Last Update Date | 2010-11-13 |