| NPI | 1184356081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NH R4469) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ND RL18762) |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2025-07-09 |