| NPI | 1083232086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 22380) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 15391I) |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2022-03-17 |