| NPI | 1225724032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL 11025802) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: FL 3030072) |
| Enumeration Date | 2023-04-14 |
| Last Update Date | 2023-04-14 |