| NPI | 1528221090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 12525) |
| Additional Taxonomies | 202C00000X Independent Medical Examiner (Licence: PR 12525) |
| Enumeration Date | 2008-07-05 |
| Last Update Date | 2008-07-05 |