| NPI | 1134488976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PR 23970) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 0101276179) |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2024-12-30 |