| NPI | 1194246314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WI 83418) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2019028864) |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2024-06-28 |