| NPI | 1154649382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OR MD171289) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A110462) |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2025-07-16 |