| NPI | 1275859860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CO DR.0072229) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA A160896) |
| Enumeration Date | 2010-04-08 |
| Last Update Date | 2024-06-19 |