| NPI | 1548226467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: GA 069696) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301078472) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2018-09-04 |