| NPI | 1205397346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CO 0065467) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0065467) |
| Enumeration Date | 2019-03-30 |
| Last Update Date | 2021-11-30 |