| NPI | 1982219713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 22024) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: 15120i) |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2021-05-20 |