| NPI | 1598971772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: VA 0102203752) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 2023-00625) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2024-03-25 |