| NPI | 1487113684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PR 001655-P.A) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NY 885689-01) |
| 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: WI 19-153) | |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2023-07-06 |