| NPI | 1376736074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: VA 0101253108) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: PA MD451529) |
| 208600000X Surgery (Licence: VA 0101253108) | |
| 208600000X Surgery (Licence: PA MD451529) | |
| Enumeration Date | 2007-08-26 |
| Last Update Date | 2025-08-12 |