| NPI | 1700478039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA RN313596) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-180669) |
| Enumeration Date | 2021-02-08 |
| Last Update Date | 2025-01-22 |