| NPI | 1518625755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: MS 904501) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MS 904501) |
| 207R00000X Internal Medicine (Licence: MS 904501) | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2021-12-06 |
| Last Update Date | 2021-12-06 |