| NPI | 1437898475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM 66096) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM RN-76626) |
| Enumeration Date | 2022-05-28 |
| Last Update Date | 2024-05-29 |