| NPI | 1063857605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX S3205) |
| Additional Taxonomies | 208D00000X General Practice (Licence: TX S3205) |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2023-03-06 |