| NPI | 1578899498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P6910) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX P6910) |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2023-02-08 |