| NPI | 1851754600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: GA 074974) |
| Additional Taxonomies | 208D00000X General Practice (Licence: AL MD.24808) |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2016-03-30 |