| NPI | 1033823430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL 11036780) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9583885) |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2024-12-12 |