| NPI | 1629538616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: RI DO01610) |
| Additional Taxonomies | 208600000X Surgery (Licence: MD H0099991) |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2026-10-12 |