NPI | 1598321390 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: OH 35.144101) |
Additional Taxonomies | 208600000X Surgery (Licence: OH 35.144101) |
Enumeration Date | 2019-05-16 |
Last Update Date | 2022-07-05 |