| NPI | 1891224994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL OS16651) |
| Additional Taxonomies | 208D00000X General Practice (Licence: MI 5101029010) |
| 208D00000X General Practice (Licence: CA 20A18146) | |
| 208D00000X General Practice (Licence: NY 299627) | |
| 208D00000X General Practice (Licence: SC 87821) | |
| 208D00000X General Practice (Licence: OR DO218817) | |
| 208D00000X General Practice (Licence: NC 2020-03413) | |
| 208D00000X General Practice (Licence: CO 0061339) | |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2026-06-16 |