| NPI | 1629509963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: TN 65487) |
| Additional Taxonomies | 208600000X Surgery (Licence: KY R4473) |
| 208600000X Surgery (Licence: TN 65487) | |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2026-05-29 |