| NPI | 1376527473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI MD21940) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 048210) |
| 208D00000X General Practice (Licence: HI MD21940) | |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2023-08-25 |