| NPI | 1669783239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: WI 60025-20) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: SC ll35974) |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2013-06-21 |