| NPI | 1003174384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: CO DR.0056983) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PA MD452377) |
| 208600000X Surgery (Licence: PA MT202124) | |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2021-03-05 |