| NPI | 1053793141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WI 82001-20) |
| Additional Taxonomies | 208600000X Surgery (Licence: SC MMD.38497 LL) |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2023-05-08 |