NPI | 1164578910 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: TX J7273) |
Additional Taxonomies | 171W00000X Contractor (Licence: TX J7273) |
Enumeration Date | 2007-01-26 |
Last Update Date | 2023-08-14 |