| NPI | 1538855176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL 11025715) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: FL 11025715) |
| Enumeration Date | 2023-04-17 |
| Last Update Date | 2023-04-17 |