| NPI | 1023505070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: FL OS19556) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 5151010375) |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2023-06-20 |