| NPI | 1487844395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: AZ 40468) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 40468) |
| 208600000X Surgery (Licence: AZ 40468) | |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2022-09-12 |