| NPI | 1659908564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: GA 111498) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125.076636) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2026-07-08 |