| NPI | 1568441046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: VA 0101227973) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101227973) |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2020-08-06 |