| NPI | 1831794981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QA0000X Family Medicine, Adolescent Medicine (Licence: AL 1-151211) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-151211) |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2023-04-04 |