| NPI | 1306059845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: MT 6293) |
| Additional Taxonomies | 208600000X Surgery (Licence: MT 6293) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2025-09-11 |