| NPI | 1649890542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 023271) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PR 198) |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2023-06-06 |