| NPI | 1528645181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: GA 1528645181) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC LL87645) |
| Enumeration Date | 2021-03-28 |
| Last Update Date | 2025-02-07 |