| NPI | 1518270453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL TRN34075) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 194961) |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2021-07-08 |