| NPI | 1083471411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL 47046) |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: TN 70973) | |
| 2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: PA AA0005231018) | |
| Enumeration Date | 2024-03-04 |
| Last Update Date | 2025-01-13 |