| NPI | 1174004964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IA R-11763) |
| Additional Taxonomies | 208600000X Surgery (Licence: OR MD224338) |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2025-06-19 |