NPI | 1447470356 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: PR 11520) |
Additional Taxonomies | 208D00000X General Practice (Licence: PR 180814) |
Enumeration Date | 2007-04-26 |
Last Update Date | 2021-04-01 |