| NPI | 1922090539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: SC 1134) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 1134) |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2024-09-17 |