| NPI | 1679772933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME98848) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL me98848) |
| 208D00000X General Practice (Licence: FL me98848) | |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2021-10-05 |