| NPI | 1003208034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: NE 1627) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NE 1627) |
| Enumeration Date | 2015-02-27 |
| Last Update Date | 2023-12-04 |