| NPI | 1295124071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CO DR.0068541) |
| Additional Taxonomies | 208600000X Surgery (Licence: RI LP03741) |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2022-09-01 |