NPI | 1538512850 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: UT 12286308-1204) |
Additional Taxonomies | 208600000X Surgery (Licence: NY 299297) |
Enumeration Date | 2016-07-21 |
Last Update Date | 2021-05-25 |