| NPI | 1316633167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: VA 0102209076) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL 0102209076) |
| Enumeration Date | 2023-04-14 |
| Last Update Date | 2025-06-23 |