| NPI | 1245440940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: LA MD.203609) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD.203609) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2023-01-23 |