| NPI | 1972065597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: FL RN9367671) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 95049462) |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2019-04-02 |