| NPI | 1497486831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: DC MD600004166) |
| Additional Taxonomies | 208600000X Surgery (Licence: SC LL88219) |
| Enumeration Date | 2022-06-17 |
| Last Update Date | 2025-07-06 |