| NPI | 1093454894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 24075) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 16797-I) |
| Enumeration Date | 2022-05-31 |
| Last Update Date | 2024-08-09 |