| NPI | 1487072146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: AZ 76302) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A160182) |
| 208600000X Surgery (Licence: NY 307111) | |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2025-05-27 |