| NPI | 1730171760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MO 2025003144) |
| Additional Taxonomies | 208600000X Surgery (Licence: AZ 33230) |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2025-02-07 |