| NPI | 1427151356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME155550) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 13196) |
| 208D00000X General Practice (Licence: FL ACN443) | |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2025-11-03 |