| NPI | 1023077435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: ID M-17620) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 0101052952) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2024-05-14 |