| NPI | 1497106637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CO DR.0071993) |
| Additional Taxonomies | 208600000X Surgery (Licence: LA 329266) |
| 208600000X Surgery (Licence: MI 5101025326) | |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2026-01-29 |