| NPI | 1871538462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME70410) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 8378) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2011-02-14 |