| NPI | 1013392471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: GA 00000000000000000000) |
| Additional Taxonomies | 208600000X Surgery (Licence: MD 00000000000000000000) |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2021-04-08 |