| NPI | 1932334166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NC 200401311) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA G-53149) |
| 208D00000X General Practice (Licence: HI MD-11467) | |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2015-05-29 |