| NPI | 1528039708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: VA 0101244015) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NE 22398) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2021-10-31 |