| NPI | 1467276295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 024210) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 16838-I) |
| Enumeration Date | 2024-11-08 |
| Last Update Date | 2025-02-03 |