| NPI | 1477948321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CO DR.0074260) |
| Additional Taxonomies | 208600000X Surgery (Licence: OR MD200973) |
| 208600000X Surgery (Licence: TX T9496) | |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2025-01-21 |