NPI | 1629342613 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: FL OS11594) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS 11594) |
Enumeration Date | 2012-03-08 |
Last Update Date | 2024-06-21 |