| NPI | 1346957941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 023052) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 23052) |
| Enumeration Date | 2022-11-02 |
| Last Update Date | 2022-11-02 |