| NPI | 1023544871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: GA 86815) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: TN 61985) |
| 207QA0505X Family Medicine, Adult Medicine (Licence: AL 38347) | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2020-11-10 |