| NPI | 1669564241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL OS4234) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL OS4234) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2025-02-05 |