| NPI | 1477916294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NM MD2022-0117) |
| Additional Taxonomies | 208600000X Surgery (Licence: NM BP10055819) |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2024-01-05 |