| NPI | 1609490333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A201504) |
| Additional Taxonomies | 208600000X Surgery (Licence: HI MDR-7932) |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2025-08-01 |