| NPI | 1700756327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: SD R030624) |
| Enumeration Date | 2025-11-08 |
| Last Update Date | 2025-11-08 |