| NPI | 1295179364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: VA 0102204901) |
| Additional Taxonomies | 208D00000X General Practice (Licence: TN 5948) |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2025-08-01 |