| NPI | 1851515282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 11634) |
| Additional Taxonomies | 251K00000X Public Health or Welfare (Licence: PR 11634) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2018-05-03 |