| NPI | 1225514185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 35812) |
| Additional Taxonomies | 208600000X Surgery (Licence: NE TEP8342) |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2023-08-02 |