| NPI | 1780274910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 022047) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 22047) |
| Enumeration Date | 2021-01-21 |
| Last Update Date | 2021-07-27 |