| NPI | 1982808028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR DM10647-6) |
| Additional Taxonomies | 202C00000X Independent Medical Examiner (Licence: PR DM10647-6) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2023-06-26 |