| NPI | 1003874025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: VA 0101102658) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301087204) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2023-10-06 |