| NPI | 1467740845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MI 4301504316) |
| Additional Taxonomies | 208600000X Surgery (Licence: RI LP02287) |
| 208600000X Surgery (Licence: MN 62199) | |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2026-04-21 |