| NPI | 1013322759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: UT 13573891-8905) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: MN 69603) |
| 208600000X Surgery (Licence: KS 94-08447) | |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2023-09-26 |