| NPI | 1316993488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: AL 4527) |
| Additional Taxonomies | 174400000X Specialist (Licence: AL 00004527) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2015-08-06 |