| NPI | 1821100835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 17725) |
| Additional Taxonomies | 163WC1400X Registered Nurse, College Health (Licence: SC r41098) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2023-05-22 |