| NPI | 1467173377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 37528) |
| Additional Taxonomies | 208600000X Surgery (Licence: PR 37528) |
| Enumeration Date | 2022-09-08 |
| Last Update Date | 2025-07-25 |