| NPI | 1356429674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: VA 0101240815) |
| Additional Taxonomies | 208600000X Surgery (Licence: SC 20289) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2025-01-21 |