| NPI | 1174936553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: LA 345619) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 0101259147) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2025-06-25 |