| NPI | 1043743099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: LA 348077) |
| Additional Taxonomies | 208600000X Surgery (Licence: WI 69803-20) |
| 208600000X Surgery (Licence: CA A175496) | |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2025-09-18 |