| NPI | 1326544255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 88576) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 010365) |
| 207Q00000X Family Medicine (Licence: MO 2021034914) | |
| Enumeration Date | 2018-03-31 |
| Last Update Date | 2023-12-18 |