| NPI | 1215291604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: AZ 58890) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2012017801) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2025-06-10 |