| NPI | 1699851279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OH 35.092225) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A94257) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2026-04-14 |