| NPI | 1750997904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 22023) |
| Additional Taxonomies | 202C00000X Independent Medical Examiner (Licence: PR 22023) |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2021-05-25 |