| NPI | 1497985501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 14682) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PR 14682) |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2025-06-09 |