| NPI | 1952378762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A87951) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A87951) |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2014-03-13 |