| NPI | 1205396397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OR MD219471) |
| Additional Taxonomies | 208600000X Surgery (Licence: DC MD600004247) |
| Enumeration Date | 2019-03-23 |
| Last Update Date | 2025-07-22 |