| NPI | 1972177301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse General Practice (Licence: PR 071005) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: FL 9551398) |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2021-05-19 |