| NPI | 1841588548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NC 2020-03148) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NC 03148) |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2023-11-09 |