| NPI | 1588317788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 23015) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 15860-I) |
| Enumeration Date | 2022-01-28 |
| Last Update Date | 2024-05-23 |