| NPI | 1679540165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 9789) |
| Additional Taxonomies | 208600000X Surgery (Licence: NH 9789) |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2018-08-03 |