| NPI | 1992773691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: AK 3927) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AK 3927) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2019-10-09 |