| NPI | 1376265314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA RN088169) |
| Additional Taxonomies | 208D00000X General Practice (Licence: GA RN088169) |
| Enumeration Date | 2022-09-15 |
| Last Update Date | 2024-09-14 |