| NPI | 1871964023 |
|---|---|
| Former Name | GWYNDOLEN VICARS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71005921A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28203742A) |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2019-07-26 |