| NPI | 1700238789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: TX V7711) |
| Additional Taxonomies | 208600000X Surgery (Licence: GA 104301) |
| 208600000X Surgery (Licence: IL 036.174568) | |
| 208600000X Surgery (Licence: FL OS22072) | |
| 208600000X Surgery (Licence: CO DR.0074663) | |
| 208600000X Surgery (Licence: AZ 011578) | |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2025-07-21 |