| NPI | 1528183241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME95942) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME95942) |
| 174400000X Specialist (Licence: FL ME95942) | |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2024-08-15 |