| NPI | 1184725806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WV 27356) |
| Additional Taxonomies | 208600000X Surgery (Licence: ME MD28702) |
| 208600000X Surgery (Licence: MN 68429) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2025-10-23 |