| NPI | 1851946420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 21992) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 15171-I) |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2023-05-21 |