| NPI | 1164841334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CO 0073459) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A178761) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2025-02-10 |