| NPI | 1083034284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: VA 0101266173) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2019029137) |
| Enumeration Date | 2014-04-26 |
| Last Update Date | 2025-04-08 |