| NPI | 1871154690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 021417) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PR 21417) |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2023-02-21 |