| NPI | 1528710795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL 11032445) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN270060) |
| 207Q00000X Family Medicine (Licence: GA RN270060) | |
| Enumeration Date | 2022-01-19 |
| Last Update Date | 2024-08-02 |