| NPI | 1457813495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MD D0103565) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD484637) |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2025-08-13 |