| NPI | 1437594306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME135985) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL ACN561) |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2025-11-17 |