| NPI | 1508894338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: OK 3450) |
| Additional Taxonomies | 208600000X Surgery (Licence: OK 3450) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2024-03-12 |