| NPI | 1841250354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: VA 0101242447) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101242447) |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2024-10-16 |