| NPI | 1518552314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 24589) |
| Additional Taxonomies | 208600000X Surgery (Licence: PR 24589) |
| Enumeration Date | 2021-03-03 |
| Last Update Date | 2025-07-28 |