| NPI | 1194786830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 11263) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL 11263) |
| 207Q00000X Family Medicine (Licence: GA 057197) | |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2023-02-21 |