| NPI | 1356803647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: DC MD048610) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 0101287398) |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2025-11-19 |