| NPI | 1710194949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 2584928) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 14409) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2008-03-28 |