| NPI | 1700817434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CO DR.0074648) |
| Additional Taxonomies | 208600000X Surgery (Licence: NM MD2006-0263) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2025-07-24 |