| NPI | 1184118283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MD D0089861) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT216743) |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2022-04-17 |