| NPI | 1669801106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ND 203036) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ND R37988) |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2025-09-29 |