| NPI | 1881476521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: CT 76242) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NY 857637-01) |
| Enumeration Date | 2023-10-17 |
| Last Update Date | 2023-10-24 |