| NPI | 1437610920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: SD 17646) |
| Additional Taxonomies | 208600000X Surgery (Licence: IA R-11530) |
| 208600000X Surgery (Licence: MN 76379) | |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2025-08-21 |