| NPI | 1376992073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CO DR.0067016) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0067016) |
| 208600000X Surgery (Licence: TX BP10056569) | |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2022-01-20 |