| NPI | 1225644107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: PA SP022533) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN646215) |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2020-09-22 |