| NPI | 1285771444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME104612) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME104612) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2026-01-15 |