| NPI | 1902106495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: LA 345208) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: NY 296319) |
| Enumeration Date | 2010-10-30 |
| Last Update Date | 2025-02-14 |