| NPI | 1629071048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PA OS005955L) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS005955L) |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2011-05-25 |