| NPI | 1831263441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: KS 04-33812) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA G61744) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2009-10-07 |