NPI | 1265472468 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: FL ME69826) |
Additional Taxonomies | 174400000X Specialist (Licence: FL ME69826) |
Enumeration Date | 2006-06-07 |
Last Update Date | 2022-12-09 |