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 |