| NPI | 1316824212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: DC NP1036331) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0024193635) |
| Enumeration Date | 2025-08-20 |
| Last Update Date | 2025-08-20 |