| NPI | 1063228005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA NP210851) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN210851) |
| 207Q00000X Family Medicine (Licence: GA NP210851) | |
| Enumeration Date | 2024-12-04 |
| Last Update Date | 2025-12-31 |