| NPI | 1578067328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MO 2023000989) |
| Additional Taxonomies | 208600000X Surgery (Licence: OR MD220258) |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2025-08-18 |