| NPI | 1518195601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: GA 97805) |
| Additional Taxonomies | 208600000X Surgery (Licence: GA FL44448608) |
| 208600000X Surgery (Licence: AL MD.34462) | |
| 208600000X Surgery (Licence: VA 0101279532) | |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2025-03-28 |