| NPI | 1205105731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: UT 14219730-1238) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A119307) |
| 208600000X Surgery (Licence: GA 85849) | |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2025-06-27 |