| NPI | 1497382683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: DC MD600003702) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 2022-00160) |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2025-09-12 |