| NPI | 1073775706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TN MD46598) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2004013300) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2023-09-15 |