| 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 |