| NPI | 1902868045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL os6898) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL OS6898) |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2015-07-28 |