| NPI | 1780813311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: LA MD.206571) |
| Additional Taxonomies | 208D00000X General Practice (Licence: AR E-6871) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2025-08-19 |