| NPI | 1497049217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: HI 1497049217) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD61014410) |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2022-10-25 |