| NPI | 1467446468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: PA OS-002664-L) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: PA OS002664L) |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2016-12-29 |