| NPI | 1437406212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: AZ 007469) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 7122) |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2019-10-15 |