| NPI | 1629393004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X (Licence: TN 52967) |
| Additional Taxonomies | 2086S0129X (Licence: KY 61656) |
| 208600000X Surgery (Licence: TN 52967) | |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2026-03-24 |