| NPI | 1124110481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA G47669) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA G47669) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2018-02-08 |