| NPI | 1114193521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TN 47608) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2016010387) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2025-02-07 |