| NPI | 1003265885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME169972) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 268511) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2024-09-18 |