| NPI | 1699877829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 07860DM0) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR BE0879239) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2016-10-19 |