| NPI | 1093736159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: MN 46911) |
| Additional Taxonomies | 208600000X Surgery (Licence: MN 46911) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2024-04-09 |