| NPI | 1003116526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CO DR.0056590) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA 20A12038) |
| 208600000X Surgery (Licence: OH 34-011701) | |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2026-05-05 |