| NPI | 1437679024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MN 83188) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX BP10060958) |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2026-09-09 |