| NPI | 1285675256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS006483L) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PA OS006483L) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2019-08-06 |