| NPI | 1114455540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CO DR.0062175) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CO DR.0062175) |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2024-09-09 |