| NPI | 1730647496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: HI MDR-21911) |
| Additional Taxonomies | 208D00000X General Practice (Licence: HI MDR-21911) |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2025-08-05 |