| NPI | 1841604170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 021240) |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital |
| Enumeration Date | 2014-06-14 |
| Last Update Date | 2020-10-20 |