| NPI | 1245918044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 23950) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 36305) |
| Enumeration Date | 2023-07-11 |
| Last Update Date | 2024-06-25 |