| NPI | 1689607608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX K2540) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX K2540) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2021-06-14 |