| NPI | 1346024890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: FL ACN1602) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: PR 023490) |
| Enumeration Date | 2023-08-23 |
| Last Update Date | 2024-08-20 |