| NPI | 1437248564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 4272) |
| Additional Taxonomies | 174400000X Specialist (Licence: PR 4272) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2012-04-10 |