| NPI | 1508083635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OR MD151767) |
| Additional Taxonomies | 208600000X Surgery (Licence: ID M-14106) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2026-08-17 |