| NPI | 1942082979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 232735) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 232735) |
| 208D00000X General Practice (Licence: GA 232735) | |
| 207P00000X Emergency Medicine (Licence: GA 232735) | |
| Enumeration Date | 2023-10-16 |
| Last Update Date | 2023-10-16 |