| NPI | 1033357942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NM MD2016-0284) |
| Additional Taxonomies | 208600000X Surgery (Licence: CO 34874) |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2023-12-04 |