| NPI | 1063903946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: NE 35630) |
| Additional Taxonomies | 208600000X Surgery (Licence: AZ R76816) |
| Enumeration Date | 2018-05-25 |
| Last Update Date | 2023-08-09 |