NPI | 1154708386 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: PR 019967) |
Additional Taxonomies | 208D00000X General Practice (Licence: FL 133209) |
Enumeration Date | 2015-04-27 |
Last Update Date | 2021-03-30 |