| NPI | 1528741733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD R216654) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: MD R216654) |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2024-02-04 |