| NPI | 1144711946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MD D0101274) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A185318) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2025-05-23 |