| NPI | 1184218232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 22721) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 15689I) |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2024-03-13 |