| NPI | 1235160979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: SD 1111) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA G44292) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2023-03-07 |