| NPI | 1477181931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: AL MD.43574) |
| Additional Taxonomies | 208600000X Surgery (Licence: AL 00000000000000) |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2023-10-10 |