| NPI | 1184074668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CO DR.0060498) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A177678) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2025-04-21 |