| NPI | 1164928271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MT 73654) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD481377) |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2024-10-11 |