| NPI | 1437721578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 86323) |
| Additional Taxonomies | 208600000X Surgery (Licence: SC MMD.86323) |
| Enumeration Date | 2021-07-16 |
| Last Update Date | 2025-08-26 |