| NPI | 1144679606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS19305) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 86428) |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2023-09-04 |