| NPI | 1285295238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MO 2019021608) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2022000474) |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2022-01-06 |