| NPI | 1558758359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NM MD2023-1292) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX BP10052958) |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2023-08-31 |