| NPI | 1942292305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: OR MD26887) |
| Additional Taxonomies | 405300000X Prevention Professional (Licence: OR MD26887) |
| Enumeration Date | 2005-08-21 |
| Last Update Date | 2025-07-17 |