| NPI | 1306884960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CO DR.0046964) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA C50472) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2021-03-24 |