| NPI | 1134342892 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 208D00000X General Practice (Licence: OK 21186)  | 
| Additional Taxonomies | 174400000X Specialist (Licence: OK 21186)  | 
| Enumeration Date | 2007-04-11 | 
| Last Update Date | 2025-09-11 |