| NPI | 1003207762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: WI 85310) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 275239) |
| 208600000X Surgery (Licence: WI 85310) | |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2025-09-22 |