| NPI | 1932996006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 1-169820) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-169820) |
| Enumeration Date | 2025-04-22 |
| Last Update Date | 2026-03-17 |