| NPI | 1497762546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX F6978) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX F6978) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2025-04-10 |