| NPI | 1710612296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 24182) |
| Additional Taxonomies | 202C00000X Independent Medical Examiner (Licence: PR 24182) |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2025-01-27 |