| NPI | 1437561123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MD D0087830) |
| Additional Taxonomies | 208600000X Surgery (Licence: RI LP03152) |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2024-04-16 |