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 |