| NPI | 1548414949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D00067482) |
| Additional Taxonomies | 208600000X Surgery (Licence: MD D00067482) |
| 208600000X Surgery (Licence: DC MD33904) | |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2021-08-10 |