| NPI | 1154311009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: SC 28382) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 28324) |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2010-08-12 |