| NPI | 1366410300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 13782) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PR 13782) |
| 207QA0505X Family Medicine, Adult Medicine (Licence: PR 13782) | |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2011-02-02 |