| NPI | 1477076131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: CO DR.0068116) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A149020) |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2026-03-10 |