| NPI | 1477655611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR BF2810871) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR DM097915) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2007-07-08 |