| NPI | 1285301341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: GA 052080) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D55997) |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2021-08-26 |