| NPI | 1023438108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: VA 0101279614) |
| Additional Taxonomies | 208600000X Surgery (Licence: MD D0087588) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2024-03-12 |