| NPI | 1235226226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 15030) |
| Additional Taxonomies | 174400000X Specialist (Licence: PR 15030) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2016-03-29 |