| NPI | 1235588054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WI 76348) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125.069165) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2023-09-25 |