| NPI | 1265946446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MO 2022049445) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2020016143) |
| Enumeration Date | 2017-11-26 |
| Last Update Date | 2023-06-26 |