| NPI | 1134342892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: OK 21186) |
| Additional Taxonomies | 208D00000X General Practice (Licence: OK 21186) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2007-07-08 |