| NPI | 1801585989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: DC MD600005803) |
| Additional Taxonomies | 208D00000X General Practice (Licence: HI MDR-859) |
| Enumeration Date | 2023-05-03 |
| Last Update Date | 2026-07-08 |