| NPI | 1548247299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL ACN677) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ACN677) |
| 208D00000X General Practice (Licence: PR 14663) | |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2023-06-08 |