| NPI | 1942680426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: SC 38266) |
| Additional Taxonomies | 208600000X Surgery (Licence: SC LL38266) |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2023-03-17 |