| NPI | 1619643491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: ME PA2250) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME PA2250) |
| 207X00000X Orthopaedic Surgery (Licence: ME PA2250) | |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2022-07-15 |