| NPI | 1194528547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2026026043) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 11024284A) |
| Enumeration Date | 2025-03-31 |
| Last Update Date | 2026-06-15 |