| NPI | 1194403501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA RN189238) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA 189238) |
| Enumeration Date | 2023-07-06 |
| Last Update Date | 2023-07-06 |