| NPI | 1831948934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC LL95079) |
| Additional Taxonomies | 208600000X Surgery (Licence: GA 15942) |
| Enumeration Date | 2024-05-13 |
| Last Update Date | 2025-07-25 |