| NPI | 1528688249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: SC 97200) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 5101028613) |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2026-08-18 |