| NPI | 1295393353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 2025-00728) |
| Additional Taxonomies | 208600000X Surgery (Licence: SC 82643) |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2025-08-07 |