| NPI | 1114548195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: AR E-19506) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX BP10071312) |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2025-08-01 |