| NPI | 1477864155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MT MED-PHYS-LIC-19033) |
| Additional Taxonomies | 208D00000X General Practice (Licence: MT 19033) |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2024-12-26 |