| NPI | 1891951349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 72238) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA 4230) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2024-05-06 |