| NPI | 1932192788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA H84123) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D0076820) |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2022-04-19 |