| NPI | 1629711221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MD C08980) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD C08980) |
| Enumeration Date | 2022-04-20 |
| Last Update Date | 2023-08-04 |