| NPI | 1205011434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PR 16852) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 16852) |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2022-08-26 |