| NPI | 1447781604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A146784) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A146784) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2021-02-18 |