| NPI | 1295355709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 5015591) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 292295) |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2025-10-09 |