| NPI | 1538233937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR BC2302305) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 9882) |
| 208D00000X General Practice (Licence: PR 09299-9) | |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2007-07-08 |