| NPI | 1790321867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA RN193382) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN193382) |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2023-10-06 |