| NPI | 1578779054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: GA 020937) |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: GA 020937) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2022-05-03 |