| NPI | 1205368628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: VT 042.0015795) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 2019-00166) |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2025-03-05 |