NPI | 1780661413 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: CA C166294) |
Additional Taxonomies | 208D00000X General Practice (Licence: HI MD-13623) |
Enumeration Date | 2005-12-23 |
Last Update Date | 2022-09-22 |