| NPI | 1629763271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 023180) |
| Additional Taxonomies | 202C00000X Independent Medical Examiner (Licence: PR 023180) |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2023-09-18 |