| NPI | 1295602688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: WV 123586) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0024194677) |
| Enumeration Date | 2025-10-20 |
| Last Update Date | 2025-10-20 |