| NPI | 1083105423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CO DR.0076361) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 57.256861) |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2025-12-01 |