| NPI | 1639431380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CO DR.0072262) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 2021-02556) |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2024-02-16 |