| NPI | 1396206603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: AZ 68100) |
| Additional Taxonomies | 208D00000X General Practice (Licence: AR E-14440) |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2025-04-16 |