| NPI | 1316478910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME177340) |
| Additional Taxonomies | 208600000X Surgery (Licence: AL MD.48592) |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2025-10-15 |