| NPI | 1386132850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: SC 52721) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD475179) |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2024-06-18 |