| NPI | 1477966505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NM MD2023-1430) |
| Additional Taxonomies | 208600000X Surgery (Licence: HI MD-19195) |
| 208600000X Surgery (Licence: CO DR.0067603) | |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2024-10-18 |