| NPI | 1578282919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 22960) |
| Additional Taxonomies | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: PR 22960) |
| Enumeration Date | 2022-08-26 |
| Last Update Date | 2022-08-26 |