| NPI | 1598264350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: VA 0110006079) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0110-006079) |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2021-01-28 |