| NPI | 1437653334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X (Licence: MD D0107759) |
| Additional Taxonomies | 208600000X Surgery (Licence: KS 0448054) |
| 208600000X Surgery (Licence: MO 2023028117) | |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2026-08-28 |