| NPI | 1699702100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MT RN25228) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MT RN25228) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2025-05-12 |