| NPI | 1184627374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME90382) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME90382) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2022-02-04 |