| NPI | 1841452836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME84724) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME84724) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2024-04-23 |