| NPI | 1598146771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NE 1519) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 1519) |
| Enumeration Date | 2015-06-14 |
| Last Update Date | 2025-06-23 |