| NPI | 1336783851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD R235165) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R235165) |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2024-08-16 |