| NPI | 1245499052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS13999) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS011182) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2024-05-01 |