| NPI | 1194804070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0051462) |
| Additional Taxonomies | 208600000X Surgery (Licence: MD D0051462) |
| 208600000X Surgery (Licence: DC MD30667) | |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2022-03-28 |