| NPI | 1609224898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CT 72449) |
| Additional Taxonomies | 208600000X Surgery (Licence: VT 042.0016462) |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2023-11-20 |